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Alaska rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.63 / $2,427.44 / $2,427.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.89 / $1,705.85 / $2,099.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.61 / $2,427.44 / $3,398.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.03 / $1,460.43 / $2,964.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.25 / $2,504.25 / $3,316.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.61 / $2,427.44 / $3,398.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.28 / $2,400.75 / $3,570.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.68 / $2,388.19 / $3,002.30